Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(3):201-204
DOI 10.1590/S0100-72032002000300009
Chronic placental abruption is a rare condition that can be early detected by ultrasound. Vaginal bleeding and uterine excitability can be present in an infrequent way. Chronic placental abruption physiopathology is unknown and there are no consistent medical risks that predispose to this condition. The perinatal outcome is poor and is often associated with prematurity and fetal or perinatal death. The obstetric treatment depends on the gestational age, fetal conditions and the size of the clot. We present a case of a chronic placental abruption diagnosed in a 14-week gestation complicated by intrauterine growth retardation, oligohydramnios and perinatal death.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(2):129-132
DOI 10.1590/S0100-72032002000200009
Hepatic rupture is one of the most serious and catastrophic complications of pregnancy, with an estimated incidence of 1:45000 to 1:225000 deliveries. It is usually associated with preeclampsia. Maternal mortality is about 60-86% and fetal mortality can reach 56-75%. Diagnosis is difficult, but commonly relies on the presence of severe bleeding and hypovolemic shock. We present the case of a patient with a 32-week gestation complicated by spontaneous preeclampsia-associated hepatic hemorrhage, which was submitted to surgical treatment with good outcome.